Provider Demographics
NPI:1821634544
Name:SEARSON, ALEXANDRA MCLEOD (PA-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MCLEOD
Last Name:SEARSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:SEARSON
Other - Last Name:MAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:109 HUNTER LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1040
Mailing Address - Country:US
Mailing Address - Phone:912-704-4957
Mailing Address - Fax:
Practice Address - Street 1:521 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8284
Practice Address - Country:US
Practice Address - Phone:281-392-0425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA15920363A00000X
GA9896363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty